Improving Addiction Care Team (IMPACT): Medication Procedures, Alternatives, Risks and Questions

Source: Dr. Honora Englander

This document serves as a template for conducting informed consent (also known as PARQs – procedures, alternatives, risks and questions) for patients beginning medication assisted treatment with buprenorphine or naltrexone. This template is used by Oregon Health & Science University’s Improving Addiction Care Team (IMPACT). IMPACT provides addiction medicine consultations to patients treated in the hospital who have a diagnosis of substance use disorder.

Funding Source: Oregon Health & Science University

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Improving Addiction Care Team (IMPACT): Medication Procedures, Alternatives, Risks and Questions

The IMPACT template for conducting informed consent for patients beginning medication assisted treatment with buprenorphine or naltrexone